3375 - Pediatric ventilator-associated infections and ventilator-associated events: 2022 update

Monday, April 25, 2022

10:00 AM – 11:30 AM US MT

Location: Convention Center: Mile High Ballroom 3C

CE: Live CME: 1.5

Selected By: AAP SoNPM
Course Number: 3375

Chair(s)

Gregory Priebe, MD (he/him/his)

Director of Research, Division of Critical Care Medicine
Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Boston, Massachusetts, United States
Anna Sick-Samuels, MD, MPH (she/her/hers)

Assistant Professor
Johns Hopkins Children's Center
baltimore, Maryland, United States

Participants should be aware of the following financial/non-financial relationships:

Gregory P. Priebe, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Anna Sick-Samuels, MD, MPH: ● CDC (Currently Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator)
● Donaghue Foundation (Currently Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator)
● NIH (Currently Ongoing) (Products/Services: Research Support including clinical trials & the principal or named investigator)

In 2019, the US CDC’s National Healthcare Safety Network implemented a new paradigm of surveillance for complications of mechanical ventilation in pediatric and neonatal patients. Such “ventilator-associated events” (VAEs) are triggered by objective criteria of escalation in oxygen requirement and/or ventilator settings, yet how they overlap with traditional VAP and ventilator-associated infections (VAI) is both controversial and complicated. This session will synthesize the latest data on pediatric VAI, VAP, and VAE and will examine new diagnostic and prevention strategies for VAI, VAP, and VAE, particularly around diagnostic stewardship of respiratory cultures. This is especially important given that pediatric VAI account for a large proportion of antibiotic use and misuse in hospitalized children.

Presentations:

10:00 AM – 10:15 AM US MT

Pediatric ventilator-associated infections: Who needs antibiotics and for how long?
Speaker: Todd Karsies, MD, MPH – Nationwide Children's Hospital
10:15 AM – 10:30 AM US MT

Can diagnostic stewardship of respiratory cultures standardize practices for mechanically ventilated children?
Speaker: Anna Sick-Samuels, MD, MPH – Johns Hopkins University School of Medicine
10:30 AM – 10:45 AM US MT

The “omics” of pediatric VAP
Speaker: Peter M. Mourani, MD – University of Arkansas for Medical Sciences
10:45 AM – 11:00 AM US MT

Prevention bundles for pediatric ventilator-associated events: Going beyond infection
Speaker: Lucy Pereira-Argenziano, MD – Hackensack Meridian Health